Mutaz A Tabbaa in Panama City - Specialist

Mutaz A Tabbaa - NPI 1912198573

Mutaz A Tabbaa is a Specialist in Panama City, Florida. Mutaz A Tabbaa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mutaz A Tabbaa is 1912198573. The last update date is 2007-08-07.

Mutaz A Tabbaa's current location address is 2559 Huntcliff Ln, Panama City, Florida. You can contact this provider via phone number 8507630333 and fax number 8507631477. The mailing address for Mutaz A Tabbaa is 2559 Huntcliff Ln, Panama City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mutaz A Tabbaa
Address 2559 Huntcliff Ln, Panama City, Florida
Phone Number 8507630333
Fax Number 8507631477
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1912198573
Provider Enumeration Date 2007-08-07
Last Updated Date 2007-08-07

Provider Mailing Address Detail

Address 2559 Huntcliff Ln
City Panama City
State Florida (FL)
Post Code 324054902
Phone Number 8507630333
Fax Number 8507631477

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME48669
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D50170 FL UPIN
1496 FL BCBS PROVIDER NUMBER
44278000 FL --
130018687 FL RAILROAD MEDICARE NUMBER

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FAQs about Mutaz A Tabbaa

What is the unique identifier code issued to Mutaz A Tabbaa by the Centers for Medicare & Medicaid Services?

The Mutaz A Tabbaa has been assigned the NPI (National Provider Identifier) 1912198573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mutaz A Tabbaa is physically located?

The Mutaz A Tabbaa is physically situated at the following address: 2559 Huntcliff Ln, Panama City, FL, 324054902.

What is Mutaz A Tabbaa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mutaz A Tabbaa's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912198573 to Mutaz A Tabbaa?

The Centers for Medicare & Medicaid Services assigned the 1912198573 to Mutaz A Tabbaa on 2007-08-07.

As of what date were the Mutaz A Tabbaa's details last updated?

The information pertaining to the Mutaz A Tabbaa, including its address, specialty, and other details, was most recently updated on 2007-08-07.

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